Julie A Cole, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2106 Issued in NC

Practice address

312 E Centerview St
China Grove, NC 28023-2553

Phone

(704) 857-5464

Fax

(704) 857-6732

NPI assigned

Sep 19, 2007

Last updated

Feb 14, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Dr. Julie A Blacksmith Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mooresville Eye Care OD PLLCGroup PAC ID 8820211394, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jcole@mooresvilleeyecare.eyefinity-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mooresville Eye Care, OD, PLLC

  • Optometrist
  • Mooresville, NC
  • NPI 1164833851
  Medicare reassignment Care Compare group NPD
• Brad Hearn OD PA

  dba Lakeside Eye Associates

  • Optometrist
  • Huntersville, NC
  • NPI 1851566772
  Medicare reassignment NPD
• Vision Center of Lake Norman OD PA

  • Optometrist
  • Mooresville, NC
  • NPI 1932522406
  Medicare reassignment
• Brad Hearn OD PA

  dba Atlantic Eye Associates

  • Optometrist
  • Hampstead, NC
  • NPI 1013479229
  NPD
• David L. King

  dba King Eye Center

  • Optometrist
  • China Grove, NC
  • NPI 1205043411
  NPD (past)
• Eyecare Specialties of North Carolina OD PLLC

  • Optometrist
  • Holly Springs, NC
  • NPI 1699483586
  NPD (past)
• Gary a. Roach, O.D., P.a.

  • Optometrist
  • Mooresville, NC
  • NPI 1922015049
  NPD (past)
• Lahey Clinic, Inc

  • Internal Medicine Physician
  • Peabody, MA
  • NPI 1063447316
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1962698365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E CENTERVIEW ST",
            "city": "CHINA GROVE",
            "state": "NC",
            "postal_code": "280232553",
            "telephone_number": "704-857-5464",
            "fax_number": "704-857-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E CENTERVIEW ST",
            "city": "CHINA GROVE",
            "state": "NC",
            "postal_code": "280232553",
            "telephone_number": "704-857-5464",
            "fax_number": "704-857-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "JULIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0802",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4731",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110082554A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "BLACKSMITH",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cabarrus Rowan Community Health Centers, Inc. (APHS-China Grove Dental)
• Cabarrus Rowan Community Health Centers, Inc. (APHS-China Grove Family Medicine)
• Carolinas Physicians Network Inc (Cabarrus Family Medicine)
• Nakisha Lachelle Childers, FNP
• China Grove Drug Co., Inc.
• Cutting Edge Developmental Therapies, LLC
• David L. King (King Eye Center)
• Daymark Recovery Services Inc
• Lavanya Desai, MD
• Michelle M. Digia

• Optometrist in China Grove, NC
• Providers in China Grove, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.